| 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 |