| NPI | 1982648002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28084354) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71001044A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-08-04 |