| NPI | 1790159317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 20720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 20720) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TN 20720) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2022-12-08 |