| NPI | 1740623156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004498A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156791A) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IN 71004498B) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-03-05 |