| NPI | 1386193225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95005102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95005102) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 634202) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-12-20 |