| NPI | 1225009319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA RN 543489) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 10100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA RN543489) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 10100) | |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2020-03-16 |