NPI | 1265671473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 18511) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 564744) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2019-08-23 |