| NPI | 1922527829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95069586) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007107) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007107) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95007107) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |