| NPI | 1215116504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: KS 1336571022) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: KS 74617) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |