| 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 |