| NPI | 1528282852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP11934) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 307247 11934) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-11-27 |