| NPI | 1396702544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14894) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 572076) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 14894) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-09-23 |