| NPI | 1225455124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95000410) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 673000) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-08-28 |