| NPI | 1396816401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 2196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 195098) |
| 363L00000X Nurse Practitioner (Licence: CA 2196) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-10-09 |