| NPI | 1023560885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95005330) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP11128) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-02-15 |