| NPI | 1124728050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28211246A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013791A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28211246A) | |
| 363L00000X Nurse Practitioner (Licence: KY 4008828) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-01-18 |