| NPI | 1144572876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95003243) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209.009318) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209.009318) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA NP95003243) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2024-02-13 |