| NPI | 1033925409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017310A) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IN 28227758A) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-10-21 |