| NPI | 1477338309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014820A) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IN 28176498A) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-01-03 |