| NPI | 1154506590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN603923) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 16403) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2013-11-04 |