| NPI | 1669287181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025012712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28224984a) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2026-07-02 |