| NPI | 1336480466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 22636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 826261) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 226363) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-07-02 |