| NPI | 1801681192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 259468) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 259468) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2026-03-12 |