| NPI | 1235424599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95013882) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 762762) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-03-18 |