| NPI | 1710649496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013378A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28221230C) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013378A) | |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2023-12-14 |