| NPI | 1679647234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP8053) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 451612) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-09-26 |