| NPI | 1174292031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IN 28237448A) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IN 28237448A) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |