| NPI | 1396389789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 377126) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 5143) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-06-01 |