| NPI | 1871861427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 20814) |
| Additional Taxonomies | 163WX0002X Registered Nurse Obstetric, High-Risk (Licence: CA 752771) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2014-05-20 |