| NPI | 1316240971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP6910) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 383824) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2016-07-19 |