| NPI | 1396331302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX 1012648) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 1012648) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-08-29 |