| NPI | 1356414221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 2396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 362483) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-02-01 |