| NPI | 1326344268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 235941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 66490) |
| 225700000X Massage Therapist (Licence: HI 7772) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: HI 2322) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2019-01-09 |