| NPI | 1598444283 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 114960) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 80694) | 
| Enumeration Date | 2023-07-12 | 
| Last Update Date | 2023-09-05 |