| NPI | 1063508703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 326484) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 326484/7362) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-07 |