| NPI | 1689797573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 080226) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28177327) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71003043A) | |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2015-10-30 |