| NPI | 1366056426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71012118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184182A) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-10-08 |