| NPI | 1710529805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95013308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 721857) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-07-10 |