| NPI | 1699378174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95015864) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95015864) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95015864) | |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 4894) | |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CA 4894) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-12-23 |