| NPI | 1457851628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28130736A) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IN 28130636A) | |
| 363L00000X Nurse Practitioner (Licence: IN 71007804B) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007804A) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2025-05-22 |