| NPI | 1164979456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28164765A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006689A) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2026-04-16 |