| NPI | 1003350950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004664) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004664) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95004664) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95004664) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004664) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-04-20 |