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 |