| NPI | 1083085039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003059) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95003059) |
| 363L00000X Nurse Practitioner (Licence: CA 95003059) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2023-12-08 |