| NPI | 1871348284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 40258) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 232778) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2025-11-05 |