| NPI | 1710741525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 17523) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 35784) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2026-01-20 |