| NPI | 1760560866 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001573A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN RN28126849A) | 
| 163W00000X Registered Nurse (Licence: IN 71001573A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-125055) | |
| Enumeration Date | 2006-11-02 | 
| Last Update Date | 2023-11-27 |