| NPI | 1275819641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN321979) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 4267) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2013-04-30 |