| NPI | 1255667796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 062520-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 062520-21) |
| 163W00000X Registered Nurse (Licence: MA RN2262268) | |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2018-05-18 |