| NPI | 1699213595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95005668) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95005668) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2021-05-25 |