| NPI | 1023751419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012489A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012489A) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-07-05 |