| NPI | 1629854914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015946A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28240957A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71015946A) | |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2024-11-26 |