| NPI | 1043750771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007074A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201894A) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71007074A) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2022-08-15 |