NPI | 1366700379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71003593A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28151227A) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2018-08-27 |