| NPI | 1033520820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95004311) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f306806-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY f340948-1) | |
| 163W00000X Registered Nurse (Licence: CA RN95091386) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2016-08-23 |