| NPI | 1487855631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NPF4259) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN302267) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP4259) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-12-23 |