NPI | 1104934033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP10593) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1727) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2014-06-19 |