| NPI | 1578061396 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71009071A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008039) | 
| Enumeration Date | 2018-01-26 | 
| Last Update Date | 2025-08-10 |