| NPI | 1013349919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014526) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 830455) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-04-11 |