| NPI | 1750814919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95006221) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006221) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95006221) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 95006221) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-05-13 |