| NPI | 1104832617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 6328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN485608) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA RN485608) | |
| 163WG0600X Registered Nurse, Gerontology (Licence: CA RN485608) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-08-02 |