| NPI | 1588855357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP 12568) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP 12568) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-09-27 |