| NPI | 1548592751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002989A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002989A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28117225A) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2021-03-29 |