| NPI | 1467082511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000229666) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2021-10-22 |