| NPI | 1235466616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 19427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 597092) |
| 363L00000X Nurse Practitioner (Licence: CA 19427) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2020-10-08 |