| NPI | 1093183931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003083) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 95003083) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003083) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003083) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 2238) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2019-01-08 |