| NPI | 1245357268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: WY 12371) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: WY 12371) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |