| NPI | 1457071839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71013935A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28245027A) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-06-13 |