| NPI | 1801001656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: CT R36577) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 000763) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |