| NPI | 1750944138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: CO 1619154) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 1619154) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2019-06-11 |