| NPI | 1528516846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95010706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173988) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95010706) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95010706) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2024-04-15 |