| NPI | 1013388842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95003281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062564) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |