| NPI | 1972035442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95006288) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CA NP95006288) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |