| NPI | 1174999015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95002951) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235748) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-07-31 |