| NPI | 1750682183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: PR 31455) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PR 31455) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |