| NPI | 1144690694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002967) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95002967) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4355) | |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2017-02-09 |