| NPI | 1336817030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 35068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000156773) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-07-29 |