| 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 |