| NPI | 1720973472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 12338) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 578050) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |