| NPI | 1265143622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013464A) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-01-12 |