| NPI | 1528690542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-154105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-154105) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2021-10-03 |