| NPI | 1417726209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95027089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790048) |
| 363L00000X Nurse Practitioner (Licence: CA 95027089) | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |