| NPI | 1548543390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6538) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN127282) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |