| NPI | 1437792694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230990) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-09-28 |