| NPI | 1598388092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN316850) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 868885) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-09-07 |