| NPI | 1538279666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 65669-030) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 1509-033) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |