| NPI | 1750523767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 10624) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 10624) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-2291) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-09-30 |