| NPI | 1770303471 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024193431) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5020838) | 
| Enumeration Date | 2024-10-16 | 
| Last Update Date | 2025-06-03 |