| NPI | 1114336989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005092A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 28172567A) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28172567A) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-07-09 |