| NPI | 1558382309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 249366) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 249366) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 249366) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 249366) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |