| NPI | 1457996332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009734A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009734A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3015475) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-04-02 |