| NPI | 1164790671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP19684) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19684) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2023-08-06 |