| NPI | 1649070350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017951A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191289A) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2026-04-09 |