| NPI | 1093331084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28214051A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 7101010137A) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-07-06 |