| NPI | 1558387837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 11060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 283364) |
| 363L00000X Nurse Practitioner (Licence: CA 11060) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-26 |