| NPI | 1750968954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 275034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 63165) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-12-18 |