| NPI | 1659681096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP19875) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 375381) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 375381) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2025-12-10 |