| NPI | 1033879168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012244A) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28201775A) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-02-21 |