| NPI | 1619960697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KS 74245) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: KS 74245) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |