| NPI | 1154552818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 15752) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 3760) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2014-12-15 |