| NPI | 1912754730 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015380A)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28243396A)  | 
| Enumeration Date | 2024-04-30 | 
| Last Update Date | 2024-07-16 |