| NPI | 1770315053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 104974423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000178243) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 37207) | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-10-17 |