| NPI | 1982989281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 058915) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 058915) |
| 163WH0200X Registered Nurse, Home Health (Licence: KS 14-83058-052) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |