| NPI | 1265858641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006676) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: PA SP013193) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2022-07-21 |