| NPI | 1770099665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95007297) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95007297) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95007297) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA NP95007297) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2020-05-01 |