| NPI | 1558858852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71008024A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28190489A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71008024A) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-06-22 |