| NPI | 1790531317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015580A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28241255A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN F01240836) | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2026-03-12 |