| NPI | 1366688863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 18531) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 3059) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |