| NPI | 1740917186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012984A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN .) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-05-08 |