| NPI | 1528768892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-81643-091) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2022045657) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-04-20 |