| NPI | 1407173784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71003167A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28130485A) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-12-15 |