| NPI | 1184246746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95028606) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2317178) |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2025-07-10 |