| NPI | 1962285122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F02230273)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014941A)  | 
| Enumeration Date | 2023-08-14 | 
| Last Update Date | 2024-03-11 |