| NPI | 1538527767 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006083A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28155941A) | 
| Enumeration Date | 2016-02-02 | 
| Last Update Date | 2025-05-14 |