| NPI | 1306547757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95022480) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 706152) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-10-14 |