| NPI | 1578349965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014561A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28240075A) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-12-18 |