NPI | 1932257235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033291) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 116865) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 3989) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2025-01-13 |