| NPI | 1326640640 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010937A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28208316A) | 
| Enumeration Date | 2020-11-11 | 
| Last Update Date | 2023-01-31 |