| NPI | 1497937577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2012038001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 151223) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-05-17 |