| 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 |