| NPI | 1891169355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: CA 243726) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 4080) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |