| NPI | 1073158986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71010070B) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28236497A) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2021-07-22 |