| NPI | 1457823361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95011216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95072251) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-06-10 |