| NPI | 1710185756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28165299A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28165299A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28165299A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28165299A) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-09-22 |