| NPI | 1346951894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95023399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95023399) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95023399) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-08-14 |