| NPI | 1760937270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209.014196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.372194) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |