| NPI | 1467513994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95006350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R125671) |
| 363L00000X Nurse Practitioner (Licence: PA RN262522L) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-07-21 |