| NPI | 1396053369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP19079) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP19079) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP19079) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2023-03-07 |