| NPI | 1043085145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014713A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 28225777A) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-09-25 |