| NPI | 1710130042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95036315) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 772466) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95036315) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2025-07-24 |