| NPI | 1093866543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA R.N. 631428) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 16730) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-01-23 |