| NPI | 1578803045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71010526A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014013264) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2014013264) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-05-01 |