| NPI | 1477297380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012421A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4035995) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-06-03 |