| NPI | 1538613906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 95017603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 2016011859) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-07-02 |