| NPI | 1538357579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17228) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 17228) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2021-12-30 |