| NPI | 1932084043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MT NUR-APRN-APP-266235) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MT NUR-APRN-APP-266235) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |