| NPI | 1497342075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010802A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229841A) |
| 208000000X Pediatrics (Licence: IN 71010802A) | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-10-21 |