NPI | 1053476416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 14685) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 620426) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2024-04-03 |