| NPI | 1952848137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005796) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-11-27 |