| NPI | 1336569862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95000593) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95000593) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95000593) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-06-29 |