| NPI | 1679115398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 207944) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-01-19 |