| NPI | 1922741537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-176390) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1169643) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-08-01 |