NPI | 1407906555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN 405161) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN 405161) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-17 |