| NPI | 1811504749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95015809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95173896) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-11-09 |