| NPI | 1700258472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95003308) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003308) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 2323) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-07-30 |