| NPI | 1053637108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV APRN002620) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 2075) |
| 367A00000X Advanced Practice Midwife (Licence: CA 23666) | |
| 163W00000X Registered Nurse (Licence: CA 765936) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-03-05 |