| NPI | 1891369757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024184307) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 29484) |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2023-08-18 |