| NPI | 1992010268 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF19930) | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 19930) | 
| Enumeration Date | 2010-08-11 | 
| Last Update Date | 2016-10-19 |