| NPI | 1871291930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71014072A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014072A) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71014072A) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-10-27 |