| NPI | 1063263572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN MF9072769) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015257A) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-03-01 |