| NPI | 1316409139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024181226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001252257) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-01-11 |