| NPI | 1396382313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 7055) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 7055F) |
| 163W00000X Registered Nurse (Licence: CA 501231) | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2022-12-15 |