| NPI | 1871942219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018471) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95004070) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-08-01 |