| NPI | 1174696033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 553017) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 13186) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-01-05 |