| NPI | 1962870592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA 633156) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CO 0171707) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |