| NPI | 1376029728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71008265A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008265) |
| 163W00000X Registered Nurse (Licence: IN 28147954A) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-08-08 |