| NPI | 1689860231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 16275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 467422) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 16275) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-08-08 |