| NPI | 1699143289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0046026) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: DE LV-0000104) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2015-09-13 |