| NPI | 1750986956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11023055) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL Rn9452892) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-02-13 |