| NPI | 1902178700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP20963) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA CNS3629) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |