| NPI | 1821456377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003737) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 769423) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 769423) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95003737) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-12-29 |