| NPI | 1922569904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71008888A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008888A) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-11-06 |