| NPI | 1053064436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015840A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017329) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2026-04-28 |