| NPI | 1689952277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 21024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 732623) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |