NPI | 1215701982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014605A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71014605A) |
Enumeration Date | 2023-11-13 |
Last Update Date | 2024-02-13 |