| NPI | 1396350716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95016216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95222645) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA AG07200182) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2022-03-29 |