| NPI | 1447967039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 32840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 32840) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-09-25 |