| NPI | 1336927649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015605A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28251468A) | 
| Enumeration Date | 2023-09-18 | 
| Last Update Date | 2025-09-10 |