| NPI | 1235313750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8242) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 8248) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 8248) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2024-09-09 |