| NPI | 1922710607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28184420A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013387a) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-11-12 |