| NPI | 1619988383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 5114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 5114) |
| 163W00000X Registered Nurse (Licence: CA 348603) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-11-13 |