| NPI | 1538778600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010198A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71010198A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28185791A) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-08-09 |