| NPI | 1508324302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 24489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 900668) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2024-08-22 |