| NPI | 1871220749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 1006084) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1006084) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-09-28 |