| NPI | 1902192776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003703A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28150957A) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2026-04-28 |