| NPI | 1265419170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 8722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 358706) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-03-22 |