| NPI | 1871944983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95004476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95094025) |
| 163W00000X Registered Nurse (Licence: MA RN2291990) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |