| NPI | 1114421161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71008063A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28222616A) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-03-04 |