| NPI | 1871850032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 21602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21602) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-09-01 |