| 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 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-03-17 |