| NPI | 1487980975 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: WI 2603-033) | 
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: WI 110745-030) | 
| Enumeration Date | 2009-10-19 | 
| Last Update Date | 2009-10-19 |