| NPI | 1194518969 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71017089A) | 
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: IN 28167002A) | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 28167002A) | |
| Enumeration Date | 2025-05-26 | 
| Last Update Date | 2025-09-25 |