| NPI | 1700938941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VI AP11815P) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP7585) |
| 163W00000X Registered Nurse (Licence: CA RN335545) | |
| 163W00000X Registered Nurse (Licence: VI 11815) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-12-17 |