| NPI | 1497122360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001605) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95001605) |
| 363L00000X Nurse Practitioner (Licence: CA 95001605) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 326872) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-09-29 |