| NPI | 1669576781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201805148NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21657) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2024-03-27 |