| NPI | 1407453699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 31370) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 31370) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2026-05-26 |