| NPI | 1467508770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 2710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 267378) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-24 |