| NPI | 1104531839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014052A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28241678A) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-07-17 |