| NPI | 1386993079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 21529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797235) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2020-05-29 |