| NPI | 1790884476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 15042) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 395822) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-04-12 |