| NPI | 1013666825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012501A) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28145252A) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2022-10-15 |