| NPI | 1932734597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95015208) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: IA 128536) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IA H159550) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95015208) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IA H159550) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IA H159550) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95015208) | |
| 163W00000X Registered Nurse (Licence: CA 95225993) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-09-02 |