| NPI | 1689453276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71015829A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28267697A) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-10-10 |