| NPI | 1003602848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71016660A) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IN 28260688A) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-30 |