| NPI | 1194569434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71015549A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28248448A) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-07-31 |