| NPI | 1407011661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17637) |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2025-06-30 |