| NPI | 1154803716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008515A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008515A) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2026-06-03 |