| NPI | 1477706307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71002784A) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: IN 28126653A) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2021-02-03 |