| NPI | 1518615277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95018587) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95018587) |
| 163W00000X Registered Nurse (Licence: CA 95089826) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-07-05 |