| NPI | 1023158698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN484689 NP11635) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN484689 NP11635) |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CA RN484689 CNS1319) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-08-05 |