| NPI | 1518530666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71011623A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN PENDING) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2022-06-21 |