| NPI | 1730853318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-162124) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-162124) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2024-02-01 |