| NPI | 1477894780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95000733) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 847802) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2026-02-19 |