| NPI | 1396341053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95016726) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 831835) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2022-05-23 |