| NPI | 1013428341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95011638) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95045928) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA AG09170056) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175892) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA AG09170056) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2024-09-24 |