| NPI | 1134406184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 95004519) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J120679) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H-120679) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2016-12-10 |