| NPI | 1336377670 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002948A) | 
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 71002948A) | 
| Enumeration Date | 2009-06-25 | 
| Last Update Date | 2024-04-15 |