| NPI | 1063113355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 202325197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28265298A) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2024-04-02 |