| NPI | 1053024182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013456A) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IN 28275072A) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-10 |