| 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 |