| NPI | 1629510433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95005435) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95005435) |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95005435) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95005435) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: CA 95005435) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2021-02-09 |