| NPI | 1043364896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 598693) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 15708) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-01-15 |