| NPI | 1801480561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011728A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209074A) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-10-15 |