| NPI | 1508529306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011743A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28230480A) |
| 163WG0600X Registered Nurse, Gerontology (Licence: IN 71011743A) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-12-29 |