| NPI | 1285193714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA NPF95011923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 798033) |
| 363L00000X Nurse Practitioner (Licence: CA 95011923) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-07-20 |