| NPI | 1790742070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 354173) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 4634) |
| 176B00000X Midwife (Licence: CA 350) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-03-14 |