| NPI | 1124615695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010705A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191443A) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2022-04-18 |