| NPI | 1588304554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 189594) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 189594) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-04-26 |