NPI | 1457661852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: NM CNS00225) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: MA 2010009139) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2010-11-05 |