| NPI | 1992330625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95034986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60466444) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-05-14 |