| NPI | 1548751969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA NP95008456) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 814703) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-08-22 |