| NPI | 1043382666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 10584) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN 486773) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-05-08 |