NPI | 1417301581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA CNS4530) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95038486) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2016-10-31 |