| NPI | 1639957954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015559A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184388A) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-10-06 |