| NPI | 1831789080 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168625A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61627858) | 
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10041553) | |
| Enumeration Date | 2021-01-21 | 
| Last Update Date | 2025-04-09 |