| NPI | 1568459568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 486-033) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 486-033) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-11-06 |