| NPI | 1619697000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28251850A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28251850A) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-12-06 |