| NPI | 1174210355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95033021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN00001519) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-12-25 |