| NPI | 1649048786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95028268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95159863) |
| 363L00000X Nurse Practitioner (Licence: CA 95028268) | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |