| NPI | 1700968955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 9629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN429132) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 9629) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 9629) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 9629) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-06-26 |