| 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 |