| NPI | 1790368066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 33889) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704375710) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-01-17 |