| NPI | 1689804478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP19057) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA NP19057) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2013-03-05 |