| NPI | 1487492443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 092427-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2371838) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-02-26 |