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 |