| NPI | 1952187866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11037716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9489863) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-06-05 |