| NPI | 1245769298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95007035) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95007035) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95007035) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-05-02 |