| NPI | 1275293979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011923A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184780A) |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IN 71011923A) | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-06-12 |