| NPI | 1174252159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71012686A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28243784A) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-12-09 |