| NPI | 1639694409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007419A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28197939A) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |