| NPI | 1326789454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018206) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11018206) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-04-21 |