| NPI | 1679990618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000561) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95000561) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95000561) | |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA 95000561) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-03-25 |