| NPI | 1992427652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013377A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28209203A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28209203A) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-12-12 |