| NPI | 1790493245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95021261) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA NP95021261) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-02-28 |