| NPI | 1912472986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: DE LV-0000123) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MD CS00134) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 4225) | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |