| NPI | 1902072549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 18658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335490) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2022-02-11 |