| NPI | 1366006488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-16126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 161126) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-12-07 |