| NPI | 1740802073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010119A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25973) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28186289A) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-06-27 |