| NPI | 1962739862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95019097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 775130) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2022-02-10 |