| NPI | 1548689649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 22976) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 713682) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-11-11 |