| NPI | 1083630180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN210589) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW2) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |