| NPI | 1457298044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 238473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1001480) |
| Enumeration Date | 2026-05-01 |
| Last Update Date | 2026-07-16 |