| NPI | 1427544261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71008065A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008065A) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-11-27 |