| NPI | 1477223261 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011629A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28184592A) | 
| Enumeration Date | 2021-09-14 | 
| Last Update Date | 2025-03-31 |