| NPI | 1811270549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 058131-23) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 23643) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2022-02-02 |