| NPI | 1982112835 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28173544A) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F01180445) | 
| Enumeration Date | 2018-01-12 | 
| Last Update Date | 2023-09-11 |