NPI | 1588696041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN482476) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW1050) |
363LF0000X Nurse Practitioner, Family (Licence: CA 482476 9473) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-06-15 |