| NPI | 1942811682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011610A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011610A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71011610A) | |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2024-04-02 |