| NPI | 1558925933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 306219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159565) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-159565) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-08-23 |