| NPI | 1437843265 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2023015207)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209027544)  | 
| Enumeration Date | 2023-06-05 | 
| Last Update Date | 2023-06-05 |