| NPI | 1699202879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007182A) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28173979A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71007182A) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2025-09-18 |