| NPI | 1073917258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209012031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.385496) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209.012031) | |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2023-10-26 |