| NPI | 1265990006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95029757) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 309080) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2024-08-28 |