| NPI | 1649072406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71016836A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28216589A) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-02-27 |