| NPI | 1528253663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002462A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71002462A) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2022-06-23 |