| NPI | 1306198999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28267029A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002334A) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2026-08-03 |