| NPI | 1710171707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010570A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN142204) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2025-05-13 |