| NPI | 1487995890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95000187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657911-1) |
| 163W00000X Registered Nurse (Licence: CA 852151) | |
| Enumeration Date | 2013-03-10 |
| Last Update Date | 2021-11-19 |