| NPI | 1790893147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 70000103A) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IN 70000103A) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-04-04 |