| NPI | 1194468934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027184) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95027184) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95027184) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2023-11-07 |