| NPI | 1225082142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6134) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 388610) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-04-05 |