| NPI | 1063815439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005120A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005120A) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2025-11-05 |