| NPI | 1124634886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95014952) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95014952) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |