| NPI | 1538688742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-132538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10439850-4405) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-132538) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2026-08-26 |