| NPI | 1548802358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 30744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000216253) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-11-06 |