| NPI | 1932178878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 6390) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6390) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 6390) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-09-11 |