NPI | 1225086556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 10283) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 10283) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 10283) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2016-04-28 |