| NPI | 1386621738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 15529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 382448) |
| 163W00000X Registered Nurse (Licence: AZ RN179052) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4980) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-09-04 |