| NPI | 1215313465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002771) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95002771) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95002771) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-01-19 |