| NPI | 1821705732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AK 222500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 33517) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: AK 33517) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-07-03 |