| NPI | 1164815353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005624A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005624A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005624A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28189119A) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2026-06-03 |