| NPI | 1194141671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95003918) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421165) |
| 163W00000X Registered Nurse (Licence: NY 673016) | |
| 163W00000X Registered Nurse (Licence: CA RN95082963) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2016-04-03 |