| NPI | 1902631583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95031019) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA 95031019) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-05-28 |