| NPI | 1730802570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95022462) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner Perinatal (Licence: CA NP95022462) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95022462) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP95022462) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP95022462) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |