| NPI | 1386959351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP06238) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014828) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2024-01-05 |