| NPI | 1669843652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003262) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003262) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61191407) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 69162) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61191407) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-08-25 |