| NPI | 1972625861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NPF9531) | 
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA RN275909) | 
| Enumeration Date | 2007-04-04 | 
| Last Update Date | 2025-09-11 |