| NPI | 1861167082 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011554A)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28224828A)  | 
| Enumeration Date | 2021-08-10 | 
| Last Update Date | 2025-04-23 |