| NPI | 1518362466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95001576) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 95001576) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 95001576) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-05-01 |