| NPI | 1073819322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 7334) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 364689) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 364689) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 364689) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2018-05-14 |