| NPI | 1811603921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 906992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 918717) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-10-21 |