| NPI | 1033212691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP9507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9507) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP9507) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-06-22 |