| NPI | 1235569914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: FL 9167103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 150588) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |