| NPI | 1013686286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95021796) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 95185406) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95021796) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-07-18 |