| NPI | 1588209951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024184474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230159) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-07-25 |