| NPI | 1841717543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11036110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1643039) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-11-04 |