| NPI | 1194509976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71015657A) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: IN 28248355C) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2025-04-09 |