| NPI | 1447617477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71006034A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006034A) |
| 163W00000X Registered Nurse (Licence: IN 28173501A) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2024-02-06 |