| NPI | 1205820537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 19904) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 163611-4) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2018-08-03 |