| NPI | 1265769137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71007001A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007001A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28190336A) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2018-03-17 |