| NPI | 1114274107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 658995-30) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: WI 65895-30) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |