| NPI | 1720485287 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95001072) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235665) | 
| Enumeration Date | 2014-11-28 | 
| Last Update Date | 2025-02-13 |