| NPI | 1649866617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 082407-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2328981) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-11-15 |