| NPI | 1609117704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP95000140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95000140) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP95000140) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2019-09-20 |