| NPI | 1356712285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: AZ AP9620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN203795) |
| 163WG0600X Registered Nurse, Gerontology (Licence: IL 041.385179) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.013442) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2017-01-30 |