| NPI | 1104394915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71008534A) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71008534B) |
| 163W00000X Registered Nurse (Licence: IN 28224639A) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2026-02-26 |