| NPI | 1962714378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN102581) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: GA RN102581) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |