| NPI | 1114081098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RNP Furnishing 1928) |
| Additional Taxonomies | 364SH1100X Clinical Nurse Specialist, Holistic (Licence: CA CNS 2542) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-02-18 |