| NPI | 1598328684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 903668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 903979) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2021-04-16 |