| NPI | 1457755787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 19247) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71005470A) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71005470B) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2023-12-26 |