| NPI | 1609433499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71009204A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28197662A) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-08-05 |