| NPI | 1417005695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA RN303602) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA NMW1068) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NMW1068) | |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2017-05-09 |