| NPI | 1225895618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28242855A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN PENDING) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |