| NPI | 1932824745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP500006330) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC005053) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-171628) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024186043) | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-08-06 |