| NPI | 1598378697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009744) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95009744) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |