| NPI | 1649059767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 34844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266191) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-10-26 |