| NPI | 1790868602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: NC 059345) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: NC 375572) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-07 |