| NPI | 1750656559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP21584) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA NP21584) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2015-03-07 |