| 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 |