| NPI | 1891249637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202000861NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95005129) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95005129) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2025-10-01 |