| NPI | 1942811682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011610A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71011610A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011610A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011610A) | |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2025-06-02 |