| NPI | 1659385235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: CT E35085) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT E35085) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |