| NPI | 1578947131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005610A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28080955A) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-11-27 |