| NPI | 1871869396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95005376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 421071) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-10-04 |