| NPI | 1518668698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95025902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95274436) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-09-27 |