| NPI | 1548611346 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006323A) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28178949A) | 
| Enumeration Date | 2016-06-23 | 
| Last Update Date | 2025-02-19 |