NPI | 1255359758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71002123) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28066026) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-02-08 |