| NPI | 1568933885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201809827RN) |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2020-07-27 |