| NPI | 1235922022 | 
|---|---|
| Entity Type | Individual | 
| Gender | N/A | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71016678A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71016678A) | 
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28229796A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28229796A) | |
| Enumeration Date | 2025-05-26 | 
| Last Update Date | 2025-08-20 |