| NPI | 1225396062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 814185) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2020-04-06 |