| NPI | 1679832539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 16431) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TN 166480) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2017-05-11 |