| NPI | 1164744645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist Women's Health (Licence: CA NP12142) |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: CA NP12142) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2017-03-14 |