| NPI | 1275508871 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 338321)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 49642)  | 
| Enumeration Date | 2006-02-17 | 
| Last Update Date | 2025-09-11 |