| NPI | 1043988231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95017987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017987) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-05-24 |