| NPI | 1336641646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009540A) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: IN 28191368A) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-04-13 |