| NPI | 1265765754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17785) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 17785) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2022-10-31 |