| NPI | 1548741515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95010972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95184263) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9199667) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-08-23 |