NPI | 1629411459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IN 71004347A) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IN 28179194A) |
363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IN 71004347B) | |
Enumeration Date | 2013-04-11 |
Last Update Date | 2019-02-13 |