| NPI | 1114744927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015941A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28278391A) |
| 163W00000X Registered Nurse (Licence: IN 28278391C) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-02-05 |