| NPI | 1689236671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009320A)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28223624A)  | 
| Enumeration Date | 2019-07-01 | 
| Last Update Date | 2023-08-16 |