| NPI | 1902223688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95001720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672373) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421178) | |
| 163W00000X Registered Nurse (Licence: CA 95047523) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2015-08-21 |