| NPI | 1760035976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95012113) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012113) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012113) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-01-29 |