| NPI | 1255867834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95006173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95091478) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-03-17 |