| NPI | 1659345569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 11071) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA CNM 1400) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-12-30 |