| NPI | 1346639614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95010050) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 852073) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2021-04-01 |