| NPI | 1225409402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006024A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006024A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006024B) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IN 28100292A) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-09-08 |