| NPI | 1053032482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013660A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013660A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28225654a) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209025961) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-04-20 |