| NPI | 1821447509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28144309A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71006593A) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-03-24 |