| NPI | 1639239759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 410786) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24030) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-01-06 |