| NPI | 1235242918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 11310) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 464627) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-04 |