| NPI | 1386004844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006254A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28138738A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71006254A) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-07-11 |