| NPI | 1932578820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95292536) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP08434) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2023-12-11 |