| NPI | 1811623093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168963A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012929A) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-11-03 |