| NPI | 1689728487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 441913) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 4493) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |