| NPI | 1801136775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95004948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19875) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95004948) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95004948) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2019-09-30 |