| NPI | 1730966896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 104183265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164708) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2026-05-27 |