| NPI | 1679318380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND 200291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F06241326) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-09-03 |