| NPI | 1922873587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95028337) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA AG11230039) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA AG11230039) | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-07-09 |