| NPI | 1306479274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 28805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 221689) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-12-02 |