| NPI | 1881019040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 22899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 778638) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-07-16 |