| NPI | 1578977039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95138010) |
| 363L00000X Nurse Practitioner (Licence: CA 95007127) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007127) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-01-14 |