NPI | 1558419200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 8652) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA RN526080) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NPF8652) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: SC 3719) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2014-09-26 |