| NPI | 1922810316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95033575) |
| Additional Taxonomies | 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: CA 17683) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95033575) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95033575) | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |