| NPI | 1255584348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.372117) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209017043) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2019-03-08 |