| NPI | 1972377067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95028109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95316563) |
| 163W00000X Registered Nurse (Licence: TN 266185) | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2025-08-14 |