| NPI | 1720806722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28260459A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017000A) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-10-17 |