NPI | 1508289422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71004815A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004815A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 28165047A) | |
Enumeration Date | 2014-01-28 |
Last Update Date | 2024-08-09 |