| NPI | 1114226628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 20470) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV 001263) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 202470) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-10-22 |