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 |