| NPI | 1174287080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011494A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 71011494A) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-01-26 |