| NPI | 1720414196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23210) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 23210) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 4003) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2022-08-15 |