| NPI | 1790407021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 40636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 232439) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2026-07-08 |