| 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 |