| NPI | 1548569627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6842) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 6842) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 6842) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2014-05-01 |