| NPI | 1720699580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: TX 2019074482) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: TX 2019074482) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-11-19 |