| NPI | 1245769298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007035) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007035) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95007035) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-08-15 |