| NPI | 1215540281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011850A) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IN 28241962A) | 
| Enumeration Date | 2020-08-28 | 
| Last Update Date | 2023-03-17 |