| NPI | 1851009237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 4191456) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28253316a) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-03-24 |