| NPI | 1164592408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 14399) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 561772) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 14399) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-08-08 |