| NPI | 1063796001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: OR 200142114RN) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 200142114RN) |
| 163WG0600X Registered Nurse Gerontology (Licence: OR 200142114RN) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |