| NPI | 1477103570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95016826) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 9611-33) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-10-22 |