| NPI | 1871714691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3413-33) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 686376) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17019) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 3413-33) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-10-17 |