| NPI | 1992322580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 3109) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: HI 78619) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-02-05 |