| NPI | 1003988106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 517297) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 517297) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-01-18 |