| NPI | 1528604709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95024839) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: CA 95212452) |
| 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: AL 1-174014) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-09-20 |