| NPI | 1568232676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014833A) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2025-12-01 |