| NPI | 1487124657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA F07180575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F07180575) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2020-11-20 |