| NPI | 1962611194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD SD RN R016765) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: SD SD CNS CS004058) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |