| NPI | 1710602636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 32574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 253743) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-01-24 |