| NPI | 1285339648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017593A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28287577A) |
| 163W00000X Registered Nurse (Licence: IL 041.448899) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028500) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2026-01-28 |