| NPI | 1316010374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 4262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 365015) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 4262) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-12-17 |