| NPI | 1972860914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 654511) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: CA 654511) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 654511) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |