| NPI | 1891890992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: CA RN302256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN302256) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-09-12 |