| NPI | 1134010408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F06250552) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-08-14 |