| NPI | 1275508871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| 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 | 2007-07-08 |