| NPI | 1891286944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 104418853) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR AG05180071) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-04-07 |