| NPI | 1588862528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 17763) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 676160) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 17763) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-02-09 |