| NPI | 1104229178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95001144) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95001144) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-06-29 |