| NPI | 1023522539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IN 71007514A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71007514A) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2022-05-20 |