| NPI | 1952436651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 1160) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 202745) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |