| NPI | 1972995157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95001942) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA AG0115109) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2025-01-14 |