| NPI | 1174309157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95026813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95026813) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-10 |