NPI | 1417575903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95016589) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95147862) |
163WP1700X Registered Nurse, Perinatal (Licence: SC 205584) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: SC 24141) | |
Enumeration Date | 2020-07-10 |
Last Update Date | 2022-04-18 |