| NPI | 1255870630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 4390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 754623) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |