| NPI | 1366807927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.013667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.170433) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209.013667) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |