| NPI | 1205485646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95012542) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95012542) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012542) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-08-28 |