| NPI | 1972041606 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007425A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28200811A) | 
| 363LF0000X Nurse Practitioner, Family (Licence: IN F06171641) | |
| Enumeration Date | 2017-02-01 | 
| Last Update Date | 2023-11-27 |