| NPI | 1821646746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95012600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 391944) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012600) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95012600) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |