| NPI | 1710215686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71003139A) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 71003139A) |
| 367A00000X Advanced Practice Midwife (Licence: IN 71003139A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003139A) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2026-04-27 |