| NPI | 1457071250 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016636A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28252384A) | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.0034849) | |
| Enumeration Date | 2022-08-31 | 
| Last Update Date | 2025-09-30 |