NPI | 1023008588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CT 002228) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: CT 002228) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-07-08 |