| NPI | 1043496904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: VA 0024181805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001134039) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2021-07-06 |