| NPI | 1912603846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 36163) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: TN 205061) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-05-10 |