| NPI | 1588366058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024190730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9466339) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-07-17 |