| NPI | 1700022431 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: CA 502228) | 
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 502228) | 
| Enumeration Date | 2008-12-30 | 
| Last Update Date | 2008-12-30 |