| NPI | 1609029453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 18579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 724868) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2014-07-07 |