| NPI | 1306114624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 20683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 785133) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2023-07-10 |