| NPI | 1215560461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013759) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95013759) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95013759) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2021-06-09 |