| NPI | 1912621947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013187A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN F09220989) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2025-08-29 |