| NPI | 1093717746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002006A) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28142503A) |
| 363L00000X Nurse Practitioner (Licence: IN 71002006A) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-07-31 |