| NPI | 1417942616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 456661) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 456661) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-08 |