| NPI | 1801907159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7175) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 7175) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 7175) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-30 |