| NPI | 1922422963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007668A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 37779) |
| 363L00000X Nurse Practitioner (Licence: WI 5720-33) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2013010559) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2013010559) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15240000) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2025-05-16 |