| NPI | 1255509139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 712534) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: NC 177696) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 18547) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2011-02-28 |