| NPI | 1154679272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004076A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28150364A) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2026-07-09 |