| NPI | 1982009007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95001645) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 95001645) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2022-01-12 |