| NPI | 1225538523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95030240) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61118837) |
| 363L00000X Nurse Practitioner (Licence: NC 232247) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95030240) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2025-02-26 |