| NPI | 1508617630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95027914) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11029241) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11029241) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-10-30 |