| NPI | 1457511123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95035073) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA CA10252) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2025-05-13 |