| NPI | 1497376875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014422) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95014422) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-11-02 |