| NPI | 1396760658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 73633) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MA 73633) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-09 |