| NPI | 1639266745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN05973) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 5973) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-04-03 |