| NPI | 1912570391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017808) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 835533) |
| 163WC0400X Registered Nurse, Case Management (Licence: CA 835533) | |
| 163WC2100X Registered Nurse, Continence Care (Licence: CA 835533) | |
| 163WH0200X Registered Nurse, Home Health (Licence: CA 835533) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 835533) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 835533) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: CA 835533) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95017808) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |