| NPI | 1205928009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA RN0001181201) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 038295623) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 037708918) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |