| NPI | 1528532132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009389A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28222815A) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71009389A) | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-08-23 |