| NPI | 1760282131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2025008123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017003020) |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2026-06-25 |