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 |