| NPI | 1740959121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 11913) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2475091) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-08-29 |