| NPI | 1689126559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95005274) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005274) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005274) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2019-06-15 |