| NPI | 1225140577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 294-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 92426-030) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-01 |