| NPI | 1619101516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 10718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 342798) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2022-06-24 |