| NPI | 1649240482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP6801) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA RN 318164) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-03-12 |