| NPI | 1306472386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011734A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2283721) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28882) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28191710A) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-07-08 |