| NPI | 1982172201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10813) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 10813) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 10813) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |