| NPI | 1568061695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010490A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28173647A) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-03-12 |