| NPI | 1609581321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28263519) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013970A) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-09-15 |