| NPI | 1992314819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IN 71011256A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28204745A) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-07-08 |