| NPI | 1205657194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015942A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28253021A) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-09-23 |