| NPI | 1588297873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 904981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 893817) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 893817) | |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2021-10-26 |