| NPI | 1336537026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005330A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28123274A) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2025-11-07 |