| NPI | 1205959640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 8308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 8308) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 8308) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-10-10 |