| 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 |