| NPI | 1962977157 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IN 71008897A)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28117942A)  | 
| Enumeration Date | 2018-10-04 | 
| Last Update Date | 2023-02-24 |