| NPI | 1861278111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71016593A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28157233A) |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 041360704) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209028603) | |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2025-05-28 |