| NPI | 1184051856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 23446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 23446) |
| 363L00000X Nurse Practitioner (Licence: WA AP60403796) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60403796) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2022-11-03 |