| NPI | 1518360437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 95001494) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2024-02-02 |