| NPI | 1245453562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN47346) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 00005463) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-03-22 |