| NPI | 1780077255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95013479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 71203) |
| 163W00000X Registered Nurse (Licence: NM 71787) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-05-18 |