NPI | 1831484120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP 20099) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 690035) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2023-08-25 |