| NPI | 1073992293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005538A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28155096A) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-06-03 |