| NPI | 1215406152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008772A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198617A) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2025-03-05 |