| NPI | 1649760885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71008189A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28168529A) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-02-02 |