| NPI | 1013544881 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010051A) | 
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: IN 28215332A) | 
| Enumeration Date | 2020-03-23 | 
| Last Update Date | 2021-06-17 |