| NPI | 1255124376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71016862A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28144110A) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-09-19 |