| NPI | 1578002135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 676439) |
| 163W00000X Registered Nurse (Licence: CA NP95005243) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005243) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-02-16 |