| NPI | 1548966096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95024017) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 95131961) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95024017) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-03-11 |