| NPI | 1255799276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95003689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 770299) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2025-12-16 |