| NPI | 1265041016 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010502A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28214322A) | 
| Enumeration Date | 2020-07-28 | 
| Last Update Date | 2023-11-02 |