| NPI | 1316925035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 275340) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 5681) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-12-31 |