| NPI | 1710357561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN AG1015022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006177A) |
| 363L00000X Nurse Practitioner (Licence: IN 28163546A) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2019-05-17 |