| NPI | 1073345104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71016662A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28267361A) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 28267361C) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-08-05 |