| NPI | 1043610488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95001139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM APRN-CNP57838) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-10-02 |