| NPI | 1922214402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA RN 207786) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA RN 207786) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-04-25 |