| NPI | 1467227330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP028952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266109) |
| 163W00000X Registered Nurse (Licence: PA 781848) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-05-29 |