NPI | 1649646803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95002521) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA np95002521) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95002521) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2015-08-26 |