| NPI | 1487752614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN305961) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA RN305961) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-26 |