| NPI | 1316665789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95021906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95021906) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-06-10 |