| NPI | 1417410846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-150238) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 3-000631) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-08-06 |