| NPI | 1467114983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30486) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 30486) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-04-04 |