| NPI | 1841589504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 19419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 534610) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |