| NPI | 1336641646 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009540A) | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28191368A) | 
| Enumeration Date | 2018-03-02 | 
| Last Update Date | 2025-04-02 |