| NPI | 1235568486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 23612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 745159) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 23612) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 23612) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 23612) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2022-02-25 |