| NPI | 1609392919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95006053) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 714565) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95006053) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95006053) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |