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 |