| NPI | 1114060258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 38535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP16342) |
| 163W00000X Registered Nurse (Licence: CA RN 569407) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-11-06 |