| NPI | 1750767620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95006715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295442) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 2295442) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2295442) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-04-07 |