| NPI | 1366577553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95014959) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 171M00000X) |
| 372600000X Adult Companion (Licence: OR 372600000X) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-07-29 |