| NPI | 1194729137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28090629A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28090629A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28090629A) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003336) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2017-03-22 |