| NPI | 1437698677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716775) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95008681) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-03-15 |