| NPI | 1629576004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007775A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007775A) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-04-18 |