| NPI | 1033727979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010295A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 11112222A) |
| 363L00000X Nurse Practitioner (Licence: IN 71010295A) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-05-09 |