| NPI | 1861108797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95033446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN316843) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-06-25 |