| NPI | 1427337559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 6708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN362861) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA RN362861) | |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2018-04-23 |