| NPI | 1700843075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 314899) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 3252) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |