| NPI | 1760538144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60486006) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6773) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-07-21 |