| NPI | 1285752477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 33-2162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 140915-030) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 2162-033) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-10-29 |