| NPI | 1851199897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95034218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN300057) |
| 163W00000X Registered Nurse (Licence: CA 9523245) | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-09-05 |