| NPI | 1043500358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 16156) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 568741) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-11-15 |