| NPI | 1225198781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95005257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005257) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95005257) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95005257) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-05-13 |