| NPI | 1912549437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009549A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28160353A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71009549A) | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2021-11-12 |