| NPI | 1487862710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 6253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 450746) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-12-20 |