| NPI | 1538055157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP033231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN732828) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-30 |