| NPI | 1487247235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 905866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 900829) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-03-10 |