| NPI | 1053407791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 483911) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA np certificate 8724) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |