| NPI | 1699179424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95001365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95001365) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95001365) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |