| NPI | 1376831875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 432344) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women (Licence: CA 432344) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2014-01-07 |