| NPI | 1679274906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013842A) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: IN 28216071A) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-01-28 |