| NPI | 1225731763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95023016) |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA |
| 363L00000X Nurse Practitioner (Licence: CA 95023016) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95023016) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95023016) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95023016) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023016) | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-27 |