| NPI | 1518766294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016624A) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 28274530A) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-09-02 |