| NPI | 1376157560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182142) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010426A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010426A) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-07-07 |