| NPI | 1568749471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 798009) |
| 163W00000X Registered Nurse (Licence: NY 630204) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421053) | |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2017-01-04 |