NPI | 1659579621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 16185) |
Additional Taxonomies | 133N00000X Nutritionist |
171100000X Acupuncturist (Licence: CA 20269) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2025-02-06 |